1. Therapeutic efficacy of regulable GDNF expression for Huntington's and Parkinson's disease by a high-induction, background-free 'GeneSwitch' vector
- Author
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Virginie Zimmer, Sebastian Kügler, Shi Cheng, Frank Streit, Catherine Pythoud, Jolanda M. Liefhebber, Anupam Raina, Pavlina Konstantinova, Nicole Déglon, Maria Rey, Gabriel Vachey, Julia Tereshchenko, Andrzej Mazur, and Mathias Bähr
- Subjects
0301 basic medicine ,Parkinson's disease ,Transgene ,Genetic enhancement ,Green Fluorescent Proteins ,Synucleins ,Mice, Transgenic ,Gene product ,Mice ,03 medical and health sciences ,Transduction (genetics) ,Adrenergic Agents ,Hormone Antagonists ,0302 clinical medicine ,3,4-Dihydroxyphenylacetic Acid/metabolism ,Adrenergic Agents/toxicity ,Animals ,Disease Models, Animal ,Gene Expression Regulation/drug effects ,Gene Expression Regulation/genetics ,Glial Cell Line-Derived Neurotrophic Factor/genetics ,Glial Cell Line-Derived Neurotrophic Factor/metabolism ,Green Fluorescent Proteins/genetics ,Green Fluorescent Proteins/metabolism ,Homovanillic Acid/metabolism ,Hormone Antagonists/therapeutic use ,Huntingtin Protein/genetics ,Huntingtin Protein/metabolism ,Huntington Disease/genetics ,Huntington Disease/metabolism ,Huntington Disease/pathology ,Huntington Disease/therapy ,Mifepristone/therapeutic use ,Oxidopamine/toxicity ,Parkinson Disease/etiology ,Parkinson Disease/genetics ,Parkinson Disease/metabolism ,Parkinson Disease/therapy ,Synapsins/genetics ,Synapsins/metabolism ,Synucleins/genetics ,Synucleins/metabolism ,Transduction, Genetic ,AAV ,GDNF ,GeneSwitch ,Huntington's disease ,Mifepristone ,Regulated expression ,Developmental Neuroscience ,Neurotrophic factors ,medicine ,Glial cell line-derived neurotrophic factor ,Glial Cell Line-Derived Neurotrophic Factor ,Oxidopamine ,Huntingtin Protein ,biology ,business.industry ,Homovanillic Acid ,Parkinson Disease ,Synapsins ,medicine.disease ,3. Good health ,Huntington Disease ,030104 developmental biology ,Gene Expression Regulation ,Neurology ,Cancer research ,biology.protein ,3,4-Dihydroxyphenylacetic Acid ,business ,030217 neurology & neurosurgery - Abstract
Gene therapy is currently an irreversible approach, without possibilities to fine-tune or halt the expression of a therapeutic gene product. Especially when expressing neurotrophic factors to treat neurodegenerative disorders, options to regulate transgene expression levels might be beneficial. We thus developed an advanced single-genome inducible AAV vector for expression of GDNF, under control of the approved small molecule drug mifepristone. In the rat brain, GDNF expression can be induced over a wide range up to three hundred-fold over endogenous background, and completely returns to baseline within 3-4 weeks. When applied with appropriate serotype and titre, the vector is absolutely free of any non-induced background expression. In the BACHD model of Huntington's disease we demonstrate that the vector can be kept in a continuous ON-state for extended periods of time. In a model of Parkinson's disease we demonstrate that repeated short-term expression of GDNF restores motor capabilities in 6-OHDA-lesioned rats. We also report on sex-dependent pharmacodynamics of mifepristone in the rodent brain. Taken together, we show that wide-range and high-level induction, background-free, fully reversible and therapeutically active GDNF expression can be achieved under tight pharmacological control by this novel AAV - "Gene Switch" vector.
- Published
- 2018
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